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Integrating best practices into routine care and responding to infections appropriately  decreases the risk of outbreaks, elevates the general level of practice and protects the public and office staff. The following recommendations address the top five practices that put patients and others at risk in a physician’s office.
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Lancets, glucometers and insulin pens

  • Lancets must be SINGLE USE ONLY
  • Lancet hubs (holds the lancet) must be SINGLE USE ONLY
  • Insulin pens must be SINGLE PATIENT USE ONLY
  • Blood glucose monitoring devices (Glucometers) and other blood testing devices, should not be shared between patients
  • If they must be shared, the device must be designed for multi-patient use and cleaned and disinfected after each use, per manufacturer’s recommendation. If the manufacturer does not specify how the device should be cleaned and disinfected then the device cannot be shared
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Blood Collection Devices

  • SINGLE USE Blood collection tube holders are PREFERRED
  • If blood tube holder must be reused,  it MUST be cleaned and disinfected after each use


Tonometers and other ophthalmologic equipment that touch the eye must undergo high-level disinfection (e.g. glutaraldehyde) between patient use. Cleaning with alcohol is not sufficient.

Updated 8 July 2020